Individual
JACQUELINE K NOLZ LEINGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-6000
(701) 323-5709
Mailing address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-6000
(701) 323-5709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
R25543
ND
364S00000X
Clinical Nurse Specialist
Primary
PAC0245
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00235006
MEDICARE RAILROAD
ND
Enumeration date
05/28/2006
Last updated
09/08/2014
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